Claims Representative A

2 weeks ago

Kuala Lumpur, Malaysia Cigna Full time

JOB

Scope
Critical analysis and processing of claims for medical expenses within the fixed turn around time.

Job content

Claims processing
Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality.
Positioning him/herself analytically and critically in the context of cost management and in respect of existing working methods.
**Following up his/her own workload (volume and timing)**: keeping an eye on chronology and processing time of the work volume and taking suitable actions.
**Participate efficiently in processing the flow of claims**: inform the Team Leader about claims lacking clarity and about possible ways of optimizing the processes.
A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators.

In relation to other positions
Providing accurate communication about a dossier to the interested internal employee.
Tracking irregularities in procedures and highlighting these to the Team Leader.
Raising problems or sensitivities with your superior.
Participating actively in an agreeable and amicable atmosphere.

PROFILE

Education Level
Bachelor Degree or similar by experience

Specific Knowledge

Active knowledge of English
Passive knowledge of other languages
Policies cover
Medical terminology
Use of necessary reference works

**Skills**:
**Skilful in taking decisions**: takes the right action on allocated files based on the available information.
**Skilful with numbers**: likes to work with numbers.
**Accurate**: works accurately on the input of data, aims to work faultlessly.
**Discipline**: pays attention to procedures, agreements and document flows.
**Efficient**: finds a good balance between quality and quantity.
**Team player**: Able to work in a team.
**Discreet**: works discreetly with confidential (medical) information.

About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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